A client who developed numbness in the right hand could not play the piano at a scheduled recital. The consequence of the symptom, not having to perform, is best described as:

Choice A reason: Emotion-focused coping refers to strategies to manage emotional distress, not unconscious benefits of symptoms. Choice B reason: Secondary gain refers to external benefits derived from symptoms, such as avoiding responsibilities or gaining sympathy. In this case, the client avoids performing. Choice C reason: Phobia involves irrational fear of specific objects or situations, not physical symptoms. Choice D reason: Primary gain refers to internal relief from anxiety due to symptom development, not external consequences.